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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 29, 2024 10:43 AM CDT
Next Update: Monday, April 29, 2024 12:00 PM CDT

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NELSON, MARY KATHERINE
Practice Address: UTICA PARK CLINIC
1145 S UTICA AVE STE 701
TULSA OK 74104

Address last updated on 2/20/2024
Phone #: (918) 582-6544
Fax #:
County: TULSA
License: 2957
Dated: 12/26/2018
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
UTICA PARK CLINIC
1145 S UTICA AVE STE 701
TULSA OK 74104

Phone #: (918) 582-6544
Fax #:

Hospital Privileges:

Hillcrest Specialty Hospital
Tulsa, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JOHN RANDOL BERGQUIST MD 38503
COREY CHAMNESS DO 5520

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